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  1. Article ; Online: Vasoespasmo en microcirugía

    Rodrigo Tejos / Josefa Venegas / Javier Sunkell / Nicolás Pereira

    Cirugía Plástica Ibero-Latinoamericana, Vol 49, Iss 3, Pp 273-

    revisión de la literatura y recomendaciones para su manejo

    2023  Volume 286

    Abstract: Resumen Introducción y objetivo. Los colgajos libres microquirúrgicos se han convertido en una herramienta indispensable en Cirugía Reconstructiva. El vasoespasmo es una entidad que puede producir fallo del colgajo. El objetivo de este trabajo es evaluar ...

    Abstract Resumen Introducción y objetivo. Los colgajos libres microquirúrgicos se han convertido en una herramienta indispensable en Cirugía Reconstructiva. El vasoespasmo es una entidad que puede producir fallo del colgajo. El objetivo de este trabajo es evaluar las distintas medidas terapéuticas para la prevención y tratamiento del vasoespasmo y proponer un algoritmo de manejo para esta complicación. Material y método. Revisión bibliográfica de estudios de diseño experimental o cuasi experimental que evalúen el efecto de distintas intervenciones para la prevención y el tratamiento del vasoespasmo. Resultados. Incluimos 31 estudios experimentales, de los cuales 5 analizan intervenciones no farmacológicas y 26 intervenciones farmacológicas. Todos los estudios experimentales fueron realizados en modelos animales. Dentro de las intervenciones no farmacológicas estudiadas, la adventicetomía y el adecuado control de la hemostasia mostraron ser medidas efectivas para la prevención del vasoespasmo. Dentro de las intervenciones farmacológicas tópicas, la lidocaína, la papaverina, el sulfato de magnesio al 10% y el verapamilo demostraron consistentemente su efectividad en la prevención y tratamiento del vasoespasmo. Dentro de las intervenciones farmacológicas sistémicas, la pentoxifilina y la prostaglandina E1 fueron las más efectivas para el manejo del vasoespasmo. Otros fármacos mostraron evidencia controvertida: nifedipino, nicardipino y prostaglandina E1 (todos de aplicación tópica); nicardipino, nifedipino y verapamilo (todos de aplicación sistémica). Conclusiones. La evidencia actual respecto a la efectividad de medidas orientadas al manejo del vasoespasmo en microcirugía se basan principalmente en estudios animales. El algoritmo de manejo del vasoespasmo que presentamos se sustenta en la experiencia clínica acumulada y la mejor evidencia actualmente disponible. Disponer de esta estrategia terapéutica permite estandarizar el manejo en la práctica clínica para una rápida toma de decisiones. Nivel de evidencia científica 5c ...
    Keywords Microcirugía ; Vasoespasmo arterial ; Agentes vasodilatadores ; Medicine ; R ; Surgery ; RD1-811
    Language Spanish
    Publishing date 2023-10-01T00:00:00Z
    Publisher Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article: Pressure ulcers: the last mile in the COVID-19 road.

    Ziede, Edmundo / Orellana, Eduardo / Tejos, Rodrigo / Olivera, Michel / Searle, Susana

    Archives of plastic surgery

    2022  Volume 49, Issue 1, Page(s) 137–138

    Language English
    Publishing date 2022-01-15
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2694943-X
    ISSN 2234-6171 ; 2234-6163
    ISSN (online) 2234-6171
    ISSN 2234-6163
    DOI 10.5999/aps.2021.01354
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  3. Article ; Online: A Hollow Tridimensional Silicone Template for Microtia Reconstruction and Postoperative Scar Compression.

    Morovic, Carmen Gloria / Hidalgo, María Ester / Tejos, Rodrigo / Ramirez, Andrea / Jorquera, Claudia

    Aesthetic plastic surgery

    2022  Volume 47, Issue Suppl 1, Page(s) 111–113

    Abstract: Microtia poses a great challenge in auricular reconstruction, due to a great number of anatomical details on the anterior aspect, and its tridimensional shape. Numerous techniques have been described in an attempt to optimize results. We have designed a ... ...

    Abstract Microtia poses a great challenge in auricular reconstruction, due to a great number of anatomical details on the anterior aspect, and its tridimensional shape. Numerous techniques have been described in an attempt to optimize results. We have designed a hollow tridimensional silicon template to serve as an intrasurgical guide for ear's anatomy, size and projection, according to the normal side, which allows better results of auricular reconstruction. It also can be used as a customized post-operative compression method. We believe it could be a valuable tool for microtia reconstruction surgery. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
    MeSH term(s) Humans ; Cicatrix ; Congenital Microtia/surgery ; Silicones
    Chemical Substances Silicones
    Language English
    Publishing date 2022-08-15
    Publishing country United States
    Document type Letter
    ZDB-ID 532791-x
    ISSN 1432-5241 ; 0364-216X
    ISSN (online) 1432-5241
    ISSN 0364-216X
    DOI 10.1007/s00266-022-03043-x
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    Zs.A 1296: Show issues Location:
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  4. Article ; Online: Standardising the management of open extremity fractures: a scoping review of national guidelines.

    Berner, Juan Enrique / Ali, Stephen R / Will, Patrick A / Tejos, Rodrigo / Nanchahal, Jagdeep / Jain, Abhilash

    European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

    2022  Volume 33, Issue 5, Page(s) 1463–1471

    Abstract: Introduction: Open extremity fractures can be life-changing events. Clinical guidelines on the management of these injuries aim to standardise the care of patients by presenting evidence-based recommendations. We performed a scoping systematic review to ...

    Abstract Introduction: Open extremity fractures can be life-changing events. Clinical guidelines on the management of these injuries aim to standardise the care of patients by presenting evidence-based recommendations. We performed a scoping systematic review to identify all national clinical practice guidelines published to date.
    Materials and methods: A PRISMA-compliant scoping systematic review was designed to identify all national or federal guidelines for the management of open fractures, with no limitations for language or publication date. EMBASE and MEDLINE database were searched. Article screening and full-text review was performed in a blinded fashion in parallel by two authors.
    Results: Following elimination of duplicates, 376 individual publications were identified and reviewed. In total, 12 clinical guidelines were identified, authored by groups in the UK, USA, the Netherlands, Finland, and Malawi. Two of these focused exclusively on antibiotic prophylaxis and one on combat-related injuries, with the remaining nine presented wide-scope recommendations with significant content overlap.
    Discussion: Clinical practice guidelines serve clinicians in providing evidence-based and cost-effective care. We only identified one open fractures guideline developed in a low- or middle-income country, from Malawi. Even though the development of these guidelines can be time and resource intensive, the benefits may outweigh the costs by standardising the care offered to patients in different healthcare settings. International collaboration may be an alternative for adapting guidelines to match local resources and healthcare systems for use across national borders.
    MeSH term(s) Humans ; Antibiotic Prophylaxis ; Cost-Effectiveness Analysis ; Databases, Factual ; Extremities ; Fractures, Open/surgery
    Language English
    Publishing date 2022-07-10
    Publishing country France
    Document type Journal Article ; Review
    ZDB-ID 1231084-0
    ISSN 1432-1068 ; 1633-8065 ; 0948-4817 ; 0940-3264
    ISSN (online) 1432-1068
    ISSN 1633-8065 ; 0948-4817 ; 0940-3264
    DOI 10.1007/s00590-022-03324-w
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3479: Show issues Location:
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  5. Article: Pressure ulcers: the last mile in the COVID-19 road

    Ziede, Edmundo / Orellana, Eduardo / Tejos, Rodrigo / Olivera, Michel / Searle, Susana

    Archives of Plastic Surgery

    2022  Volume 49, Issue 01, Page(s) 137–138

    Language English
    Publishing date 2022-01-01
    Publisher Thieme Medical Publishers, Inc.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2694943-X
    ISSN 2234-6171 ; 2234-6163 ; 2234-6171
    ISSN (online) 2234-6171
    ISSN 2234-6163 ; 2234-6171
    DOI 10.5999/aps.2021.01354
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  6. Article ; Online: Optimizing the Chicken Wing Anatomy: Nomenclature Review and Description for Microsurgery and Supermicrosurgery Training.

    Navia, Alfonso / Tejos, Rodrigo / Yañez, Ricardo / Cuadra, Alvaro / Dagnino, Bruno

    Journal of reconstructive microsurgery

    2020  Volume 38, Issue 9, Page(s) e1–e2

    MeSH term(s) Animals ; Microsurgery/education ; Anastomosis, Surgical/education ; Clinical Competence
    Language English
    Publishing date 2020-10-01
    Publishing country United States
    Document type Letter
    ZDB-ID 605983-1
    ISSN 1098-8947 ; 0743-684X ; 0743-684X
    ISSN (online) 1098-8947 ; 0743-684X
    ISSN 0743-684X
    DOI 10.1055/s-0040-1718393
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2035: Show issues Location:
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  7. Article ; Online: A Novel, Low-Cost Method for Teaching Breast Reduction Markings to Plastic Surgery Residents Amid the COVID-19 Pandemic.

    Tejos, Rodrigo / Navia, Alfonso / Rojas, Maria Fernanda / Cuadra, Alvaro / Searle, Susana

    Aesthetic surgery journal

    2021  Volume 41, Issue 5, Page(s) NP245–NP246

    MeSH term(s) COVID-19 ; Humans ; Mammaplasty ; Pandemics ; SARS-CoV-2 ; Surgery, Plastic
    Language English
    Publishing date 2021-02-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 2087022-X
    ISSN 1527-330X ; 1090-820X ; 1084-0761
    ISSN (online) 1527-330X
    ISSN 1090-820X ; 1084-0761
    DOI 10.1093/asj/sjaa316
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    Zs.A 5721: Show issues Location:
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    Zs.MO 570: Show issues

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  8. Article ; Online: MicrosimUC: Validation of a Low-Cost, Portable, Do-It-Yourself Microsurgery Training Kit.

    Navia, Alfonso / Tejos, Rodrigo / Canahuate, Sebastian / Machuca, Eduardo / Searle, Susana / Cuadra, Alvaro / Dagnino, Bruno

    Journal of reconstructive microsurgery

    2021  Volume 38, Issue 5, Page(s) 409–419

    Abstract: Background:  Microsurgery depends largely on simulated training to acquire skills. Courses offered worldwide are usually short and intensive and depend on a physical laboratory. Our objective was to develop and validate a portable, low-cost microsurgery ...

    Abstract Background:  Microsurgery depends largely on simulated training to acquire skills. Courses offered worldwide are usually short and intensive and depend on a physical laboratory. Our objective was to develop and validate a portable, low-cost microsurgery training kit.
    Methods:  We modified a miniature microscope. Twenty general surgery residents were selected and divided into two groups: (1) home-based training with the portable microscope (MicrosimUC,
    Results:  MicrosimUC residents significantly improved their median performance scores after completion of training (
    Conclusion:  We developed a low-cost, portable microsurgical training kit and curriculum with significant acquisition of skills in a group of residents, comparable to a formal microsurgery course.
    MeSH term(s) Animals ; Clinical Competence ; Curriculum ; Internship and Residency ; Microsurgery/education ; Simulation Training/methods
    Language English
    Publishing date 2021-10-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605983-1
    ISSN 1098-8947 ; 0743-684X ; 0743-684X
    ISSN (online) 1098-8947 ; 0743-684X
    ISSN 0743-684X
    DOI 10.1055/s-0041-1735593
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    Zs.A 2035: Show issues Location:
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  9. Article ; Online: International Lower Limb Collaborative (INTELLECT) study: a multicentre, international retrospective audit of lower extremity open fractures.

    Berner, Juan Enrique / Chan, James K K / Gardiner, Matthew D / Navia, Alfonso / Tejos, Rodrigo / Ortiz-Llorens, Manuel / Ortega-Briones, Alina / Rakhorst, Hinne A / Nanchahal, Jagdeep / Jain, Abhilash

    The British journal of surgery

    2023  Volume 109, Issue 9, Page(s) 792–795

    MeSH term(s) Fractures, Open/surgery ; Humans ; Leg Injuries ; Lower Extremity/surgery ; Retrospective Studies
    Language English
    Publishing date 2023-08-01
    Publishing country England
    Document type Journal Article ; Multicenter Study
    ZDB-ID 2985-3
    ISSN 1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
    ISSN (online) 1365-2168
    ISSN 0263-1202 ; 0007-1323 ; 1355-7688
    DOI 10.1093/bjs/znac105
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  10. Article ; Online: A desafíos comunes, soluciones colaborativas

    Juan Enrique Berner / Oscar F Fernández-Díaz / Rodrigo Tejos

    Cirugía Plástica Ibero-Latinoamericana, Vol 46, Iss 3, Pp 257-

    presentamos el Capítulo de Residentes Ibero Latinoamericanos de ICOPLAST

    2020  Volume 258

    Keywords Medicine ; R ; Surgery ; RD1-811
    Language Spanish
    Publishing date 2020-12-01T00:00:00Z
    Publisher Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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